Anaphylaxis in Schools 3rd Edition

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Appendix C Body Position After giving epinephrine, place the person on their back with their legs raised. If they feel sick or are vomiting, they should be placed on their side so that the airway is clear and they do not choke on vomit. It is important to avoid having an individual immediately sit up or stand after receiving epinephrine as these sudden changes of position may lower their blood pressure, worsen their condition, and potentially result in death. Additionally, emergency responders should be directed to the person’s location and transport the person on a stretcher. The person should not be made to walk to emergency responders. Important notes • A person should stay with the child at all times. • It is important to note the time of administration of the first epinephrine auto-injector so that you know how long it has been since the child received the first dose of epinephrine. • The use of epinephrine for a potentially life-threatening allergic reaction will not harm a normally healthy child, even if epinephrine was not required. • If an anaphylactic emergency occurs, both the school anaphylaxis plan and the child’s Anaphylaxis Emergency Plan should be reviewed and amended as necessary. Training • Each year there will be training for staff which includes an overview of anaphylaxis, signs and symptoms and a demonstration on the use of epinephrine. Staff will have an opportunity to practice using an auto-injector trainer (i.e. device used for training purposes) and are encouraged to practice with the auto-injector trainer throughout the year, especially if they have a student at risk in their class. • Ideally, a follow-up refresher training session should be given mid-year. • Substitute teachers will be advised to review the Anaphylaxis Emergency Plan for children in their class. The principal will speak with substitute teachers about the procedure for responding to emergency situations. • Students will learn about anaphylaxis in a general assembly or special class presentations. Creating an Allergy-Safe School Environment Individuals at risk of anaphylaxis must learn to avoid specific triggers. While the key responsibility lies with the students at risk and their families, the school community must also be aware. Special care is taken to avoid exposure to allergy-causing substances. Teachers are to inform parents which foods cannot be brought into their classrooms. The risk of accidental exposure to a food allergen can be significantly diminished by means of such measures. 30 Anaphylaxis in Schools & Other Settings Copyright © 2005-2014 Canadian Society of Allergy and Clinical Immunology
Given that anaphylaxis can be triggered by minute amounts of an allergen when ingested, children with food allergy must be encouraged to follow certain guidelines: Appendix C • Eat only food which they have brought from home unless it is packaged, clearly labelled and approved by their parents. • Wash hands with soap and water before and after eating. • Not share food, utensils or containers. • Place food on a napkin or wax paper rather than in direct contact with a desk or table. Anaphylaxis in Schools & Other Settings Copyright © 2005-2014 Canadian Society of Allergy and Clinical Immunology 31
Page 1 and 2: Anaphylaxis in Schools & Other Sett
Page 3 and 4: Copyright © 2005-2014 Canadian Soc
Page 5 and 6: Table of Contents Table of Contents
Page 7 and 8: Executive Summary Executive Summary
Page 9 and 10: Consensus Statement Consensus State
Page 11 and 12: If an allergic person expresses any
Page 13 and 14: Other Factors to Consider • Prev
Page 15 and 16: 3. All individuals receiving epinep
Page 17 and 18: Avoidance Strategies Consensus Stat
Page 19 and 20: -- Stay away from areas where sting
Page 21 and 22: child/school with an epinephrine au
Page 23 and 24: Training & Communication Consensus
Page 25 and 26: References Consensus Statement 1. S
Page 27 and 28: Appendices Consensus Appendices Sta
Page 29 and 30: of position may lower their blood p
Page 31 and 32: School Anaphylaxis Plan Appendix C
Page 33: • Have the child wear medical id
Page 37 and 38: Anaphylaxis Emergency Plan: (name)
Page 39 and 40: HOW TO USE ALLERJECT TM Practice Wi
Page 41 and 42: Think F.A.S.T. Appendix E Anaphylax
Page 43 and 44: Sample Letter from Teacher (element
Page 45 and 46: Avoidance Strategies for Specific F
Page 47 and 48: Avoidance of Peanut and Tree Nuts A
Page 49 and 50: look for ‘may contain’ warnings
Page 51 and 52: effective. 9 In the same study, res
Page 53 and 54: Teens must be able to resist peer p
Page 55 and 56: Anaphylaxis in the Workplace Append
Page 57 and 58: Manitoba Since 1995, Manitoba has b
Page 59 and 60: On January 1, 2012 the Ontario Mini
Page 61 and 62: • A requirement that every schoo
Page 63 and 64: Idiopathic reaction: a reaction tha
Page 65 and 66: Anaphylaxis Canada Anaphylaxis Cana
Page 67 and 68: OTHER ORGANIZATIONS Appendix L Alle
Page 69 and 70: Health Canada (Food Directorate) Th
Page 71 and 72: Association of Allergists and Immun
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Anaphylaxis in Schools 3rd Edition

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